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1396282885
KENNA DAUGHERTY
SPRINGFIELD, MO
NPI
1396282885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2015041556)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
-- KENNA DAUGHERTY ATC
4331 S FREMONT AVE
SPRINGFIELD, MO 65804-7328
Phone number: 417-820-5010
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Mailing Address
-- KENNA DAUGHERTY ATC
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2000
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